DANIELLE S. WALSH MD
NPI 1396756821
Surgery - Pediatric Surgery in Lexington, KY
NPI Status: Active since August 10, 2006
Contact Information
740 S LIMESTONE STE 201
LEXINGTON, KY
ZIP 40536
Phone: (859) 218-2522
Fax: (859) 323-3918
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Female
- Surgery
- Pediatric Surgery
- Accepts Insurance
- PECOS Enrolled
About DANIELLE WALSH
This page provides the complete NPI Profile along with additional information for Danielle Walsh, a provider established in Lexington, Kentucky with a medical specialization in Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1396756821 assigned on August 2006. The practitioner's primary taxonomy code is 2086S0120X with license number 56535 (KY). The provider is registered as an individual and her NPI record was last updated June 2025.
- NPI
- 1396756821
- Provider Name
- DANIELLE S. WALSH MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 740 S LIMESTONE STE 201 LEXINGTON, KY 40536
- Location Phone
- (859) 218-2522
- Location Fax
- (859) 323-3918
- Mailing Address
- 3803 CHARLESTON CT GREENVILLE, NC 27834
- Mailing Phone
- (252) 481-1238
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-10-2006
- Last Update Date
- 06-17-2025
- Code Navigator
Location Map
Secondary Locations
- 1717 S Orange Ave
Orlando, FL 32806
(407) 567-5924
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Pediatric Surgery
- Taxonomy Code
- 2086S0120X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 56535
- License State
- KY
- Taxonomy Description
- A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2086S0120X | Allopathic & Osteopathic Physicians | Surgery | ME90213 (FL) |
| 2 | 2086S0120X | Allopathic & Osteopathic Physicians | Surgery | 2011-00774 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- Avera $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 | with Atrium Health - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard | with Atrium Health - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard | with Atrium Health - HMO
- Gold Elite Saver Plus - HMO
- Gold Elite Saver Plus | with Atrium Health - HMO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
- Wellmark Bronze HDHP EPO HSA Qualified - EPO
- Wellmark Bronze Traditional EPO - EPO
- Wellmark Gold Traditional EPO - EPO
- Wellmark Silver Traditional EPO - EPO
- Wellmark Standard Bronze EPO - EPO
- Wellmark Standard Gold EPO - EPO
- Wellmark Standard Silver EPO - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5918320 | MEDICAID (05) | NC | |
| 000446729A | MEDICAID (05) | GA | |
| 163PP | OTHER (01) | NC | BCBSNC |
| 270146400 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Danielle Walsh is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DANIELLE S. WALSH MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 7 | 5 | 6 | 8 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 14 | 5 | 12 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 4 + 5 + 1 + 2 + 8 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1396756821 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
MEAGAN KOMONDOREAS CPNP-AC
Nurse Practitioner
(Pediatrics, Critical Care)
740 S LIMESTONE STE 201
LEXINGTON, KY
ZIP 40536
KAROLYN MARIE ROBERTS APRN
Nurse Practitioner
(Pediatrics)
740 S LIMESTONE STE 201
LEXINGTON, KY
ZIP 40536
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396756821, enumerated as an "individual" on August 10, 2006.
The provider is located at 740 S LIMESTONE STE 201 LEXINGTON, KY 40536 and the phone number is (859) 218-2522.
Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.
The provider might be accepting Accepts: AmeriHealth Caritas Next, Avera Health Plans,. Please consult your insurance carrier or call the provider to verify.
